| Prodigal Ministries, Llc | |
|
256 Main St Ste B Florence KY 41042-2050 | |
| (502) 222-2389 | |
| Not Available |
| Full Name | Prodigal Ministries, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 256 Main St Ste B, Florence, Kentucky |
| Authorized Official Name and Position | Nina J Roy (RECONCILIATION DIRECTOR) |
| Authorized Official Contact | 2705854306 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prodigal Ministries, Llc Po Box 1484 Crestwood KY 40014-1484 Ph: (502) 222-2389 | Prodigal Ministries, Llc 256 Main St Ste B Florence KY 41042-2050 Ph: (502) 222-2389 |
| NPI Number | 1376313973 |
|---|---|
| Provider Enumeration Date | 01/04/2024 |
| Last Update Date | 01/04/2024 |
| Certification Date | 01/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376313973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Secondary |
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